KEELEN D ELLISON

SHAWNEE, OK
NPI1477306256
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-04-10
Last Update Date2024-04-10
Business Address
KEELEN D ELLISON
126 S CENTER ST UPLIFT
SHAWNEE, OK 74801
Phone number: 817-243-9129
Mailing Address
KEELEN D ELLISON
OLD HIGHWAY 33-2000 COMMONS APT 19A
LANGSTON, OK 73050
Phone number: 817-243-9129